Active NPI
Golden State Family Care LLC
- Behavior Analyst
- Tarzana, CA
National Provider Identifier
1720904162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- GOLDEN STATE FAMILY CARE LLC
- Practice address
- 5815 Yolanda Ave
Tarzana, CA 91356-5967 - Phone
- (714) 422-4651
- NPI assigned
- Jun 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaycob Andrew Ornelas
- Title
- Ceo
- Phone
- (714) 422-4651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5815 Yolanda Ave
Tarzana, CA 91356-5967
Mailing address
5815 Yolanda Ave
Tarzana, CA 91356-5967
Phone (714) 422-4651
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1720904162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 YOLANDA AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913565967",
"telephone_number": "714-422-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 YOLANDA AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913565967",
"telephone_number": "714-422-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN STATE FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "ORNELAS",
"authorized_official_first_name": "JAYCOB",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-422-4651"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.